针灸治疗坐骨神经痛研究进展

Research Progress of Acupuncture and Moxibustion in the Treatment of Sciatica

坐骨神经痛,属于中医学“痹证”范畴,病因多为风、寒、湿、热、痰饮、气滞、血瘀、闪挫等外邪阻碍气血运行,不通则痛,亦或是肾精亏虚,不荣则痛。针灸治疗坐骨神经痛是临床常用且见效较快的方法。此文通过检索大量相关文献,整理出常用的治法,主要有毫针、电针、腹针、头针、温针、针刀、杵针、刺络放血、艾灸等及一些特殊针法和联合针法,为针灸治疗坐骨神经痛提供了更多参考依据。

Sciatica is classified as“bi syndrome”in traditional Chinese medicine.The etiology is wind,cold,dampness,heat,phlegm,qi-stagnation,blood stasis,sprain and so on which are external evils that obstructs qi and blood movement to cause pain.On the other hand,it is kidney essence deficient that lack of nourishment causes pain.Acupuncture and moxibustion is a common and effective treatment for sciatica.This paper searched a large number of relevant literature and sorted out the commonly used treatment,which are filiform needle,electric needle,abdominal needle,head needle,warm needle,needle knife,pestle needle,puncture bloodletting,moxi-bustion and other treatments,and some special acupuncture and joint treatments.It provides more reference for acupuncture and moxi-bustion in the treatment of sciatica.